Tiêu đề RECALLS 6 - NP4 - SC ✅

4 | Page B. Health care personnel do not understand their own feelings about death and dying therefore they avoid caring for terminally clients. C. Terminally ill clients have the right to die with dignity D. Terminally ill client’s experiences pain most of the time. 48. The dying clients wishes to donate her eyes after she dies. Which of the following statements is NOT TRUE about organ donation? A. Any individual, at least 15 years old of age and of a sound mind may donate a part of his body to take the effect after transplantation needed by the recipient B. Sharing of human organs or tissues shall be made only throygh an exchange program duly approved by the Department of Helath C. The choice to donate an organ must be a written document D. Laws that do not require the consent of a family members to retrieve organs if the donor has expressed his last wish to donayte SITUATION: A nurse working in the hema ward of Bloody hospital for 3 years is assigned to care for pediatric patients with hereditary condition. One of her patients is named Ryan, diagnosed with B-Thalassemia. 49. The nurse is presenting a clinical conference and discusses the cause of B- Thalassemia. The nurse informs her audience that the child at greatest risk of developing this disorder is: A. A child of Mexican descent B. A child of Mediterranean descent C. A child of Asian descent D. A child of American descent 50. The nurse added that in B-Thalassemia, which family history may be present in the development of the condition? A. Autosomal dominant disorder B. Autosomal recessive disorder C. Y-linked genetic disorder D. X-linked genetic disorder 51. The nurse presented assessment data she gathered from her patient. She emphasized that her patient has greenish- yellow skin tone and severe anemia requiring transfusion support to sustain life. She identifies this type of B- Thalassemia as: A. Thalassemia major B. Thalassemia intermedia C. Thalassemia trait D. Thalassemia minor 52. Based from the patient’s manifestations, severe anemia in B-Thalassemia is also known as: A. Kleihauer-Betke’s anemia B. Charcot’s anemia C. Coumb’s anemia D. Cooley’s anemia 53. The patient is receiving long-term blood transfusion therapy for the treatment of his disorder. Chelation therapy (removal of toxic substances) is prescribed to prevent organ damage from the presence of too much iron in the body as a result of the transfusions. The nurse correctly anticipates the medication used for chelation therapy for the patient which is: A. Naloxone B. Calcium Disodium Edetate C. Deferoxamine D. Protamine sulfate 54. The nurse is caring for another patient with a hereditary bleeding disorder. The nurse noted that the patient has increased tendency to bleed from mucous membranes. Most probably, the physician’s medical diagnosis for thi s patient would be: A. Christmas disease B. Classic hemophilia C. Von Willebrand disease D. B-Thalassemia Situation: Mrs. Tina, a 47-year-old married woman with four children, went to the hospital because of joint pain. Upon reviewing her medical history, the nurse discovers that she was diagnosed with osteoarthritis. 55. Nurse Madie was assigned to care for this patient. She is aware that osteoarthritis is not associated with the following signs and symptoms: a. Edema over the affected joints – RHEUMATOID ARTHRITIS b. Stiffness is decreased with movement. c. Pain d. Limitations in range-of-motion 56. A comprehensive physical assessment and health history was taken by Nurse Madie. She was able to take note of various risk factors present from the patient's lifestyle. Nurse Madie knows that among the following, the factor that most likely aggravates Mrs. Lima's symptoms is: A. Recent leg fracture B. Working as a corporate president for 10 years C. Weight of 75kg and height of 165cm – OBESE 1 D. Dehydration 57. Nurse Sugar is assessing a client with Cushing’s syndrome. Which observation should the nurse report to the physician immediately? A. Pitting edema of the legs B. An irregular apical pulse C. Dry mucous membranes D. Frequent urination 58. Nurse Madie is aware that osteoarthritis is a "wear-and- tear" disease. She expects that the joints most likely affected in this condition are the: A. Hips and knees B. Tibia and fibula C. Humerus and radius D. Thoracic spine 59. As part of health teaching, Nurse Madie instructs Mrs. Tina that to effectively decrease joint pain and stiffness before starting her daily activities, she should not do the following excluding: A. Decrease carbohydrates and protein, and increase more fat in diet. B. Perform range of motion exercisaes and apply liniment to the affected joints C. Administer codeine when pain is exceedingly high. D. Apply cold compress to affected joints. 60. Being the patient's primary nurse, Nurse Madie collaborates with the healthcare team, especially with the physical therapist. The physical therapist recommended that Mrs. Lima undergo a regimen of rest, exercise and physical therapy. Nurse Madie explains to the patient that this regimen will: A. Help patient cure the disease B. To reduce the inflammation due to the disease process. C. To restore her abilities she had when she was younger D. Prevent the crippling effect of osteoarthritis Situation: EJ has been wearing eyeglasses since he was 5 years old. When he turned 18, he wanted to dispose of the eyeglasses and started wearing long-wearing contact lenses. Before his 24th birthday, he was rushed into the emergency department because of severe eye pain. After assessment, he was diagnosed to have corneal ulcer. 61. Which of the following affects the ability of the eye to clearly focus? A change in the_______. A. Stroma B. Sensory cells of the retina C. curvature of the cornea D. epithelium 62. Which of the following is the predisposing factor for EJ’s condition? A. Bacterial infection B. Prolonged misuse of contact lenses C. Malnutrition D. Viral infection 63. Corneal ulcers are considered medical emergencies. Which of the following nursing actions will be your PRIORITY? A. Remove the contact lens B. Prompt referral to the ophthalmologist for treatment C. Administer eyedrops D. Pressure dressing applied to both eyes for comfort